BEDFORD CARE CENTER OF MARION (MARION, MS) Detailed Nursing Home Profile

Complaint Deficiency

A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Proper construction of ducts through walls designed to prevent smoke passage
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Weekly inspections and monthly testing of generators
- Harm: Potential for minimal harm
- Scope: Many
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that doctors visit residents regularly, as required
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Give or get quality lab services/tests in a timely manner to meet the needs of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridors or aisles that are unobstructed and are at least 8 feet in width
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Portable fire extinguishers
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Give or get quality lab services/tests in a timely manner to meet the needs of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	19.5%
State:	18.2%

Percent of long-stay residents who self-report moderate to severe pain

Here:	9.7%
State:	13.9%

Percent of long-stay high-risk residents with pressure ulcers

Here:	7.6%
Mississippi:	7.3%

Percent of long-stay residents who lose too much weight

Here:	1.1%
Mississippi:	7.8%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

Here:	51.2%
State:	41.4%

Percent of long-stay residents with a urinary tract infection

Here:	2.2%
State:	7.3%

Percent of long-stay residents who have depressive symptoms

Here:	1.1%
Mississippi:	2.8%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	2.2%
Mississippi:	2.9%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	100.0%
Mississippi:	94.9%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	98.9%
State:	96.7%

Percent of short-stay residents who self-report moderate to severe pain

This Nursing Home:	7.4%
Mississippi:	24.8%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	1.1%
Mississippi:	1.5%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	92.9%
State:	84.8%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	88.6%
Mississippi:	85.8%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	19.6%
Mississippi:	26.8%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.760
Mississippi:	0.625

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	1.160
Mississippi:	0.996

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.920
State:	1.616

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.040
Mississippi:	0.046

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.040
State:	0.049

BEDFORD CARE CENTER OF MARION - MARION, MS

Complaint Deficiency

Quality Measures

Staff Information

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